Operative surgery . Pig. 319.—Making the bone flap. frequently very troublesome. If the anterior branch happens to run in acanal instead of a groove at the base of the flap, it will be almost surely torn OPERATIONS ON THE NERVOUS SYSTEM. 299 across (Fig. 274). In separating the dura from the hone at the entrance tothe fossa, the main trunks may be ruptured. After exposure of the dura,the vessel should be isolated and tied as promptly and securely as the vessel be torn, prompt i)ressure is applied, the vessel exposed by cut-ting away the bone and then tied with silk. If the main tru
Operative surgery . Pig. 319.—Making the bone flap. frequently very troublesome. If the anterior branch happens to run in acanal instead of a groove at the base of the flap, it will be almost surely torn OPERATIONS ON THE NERVOUS SYSTEM. 299 across (Fig. 274). In separating the dura from the hone at the entrance tothe fossa, the main trunks may be ruptured. After exposure of the dura,the vessel should be isolated and tied as promptly and securely as the vessel be torn, prompt i)ressure is applied, the vessel exposed by cut-ting away the bone and then tied with silk. If the main trunk be rup-tured, and can not be otherwise secured, prompt pressure, followed by plug-ging of the foramen spinosum with gauze for three days, will permanentlyarrest the bleeding (Keen). The Third Stage (raising temporo-sphenoidal lobe).—Separate the durafrom the bone carefully with the fingers; raise the brain cautiously with abroad spatula from the middle fossa preparatory to exposure of the Gasserianganglion an
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
